Michelle Colleen Sundquist, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC5303 Issued in ID

Practice address

10373 Loneleaf Dr
Nampa, ID 83687-7936

Phone

(208) 649-8994

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 15, 2024 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alchemy Counseling and Wellness

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1487506333
  NPD Authorized official
• JX2 LLC

  • Group Psychotherapy Psychologist
  • Boise, ID
  • NPI 1588967020
  NPD (past)
• Trivium Life Services Mountain West, LLC

  dba Recovery 4 Life

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1194962829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1699055681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 LONELEAF DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877936",
            "telephone_number": "208-649-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 LONELEAF DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877936",
            "telephone_number": "208-649-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDQUIST",
        "first_name": "MICHELLE",
        "middle_name": "COLLEEN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC5303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Sullivan
• Sabrina Sultana
• Stacy I Summa, PA C
• Summit Psychiatry and Family Wellness
• Sunbridge Healthcare LLC (Sunny Ridge)
• Nicole Sundstrom, LPC
• Ali Sup, DO
• Superior Medical Service, PLLC
• Alicia Mary Suski, M.D.
• Cody G Svedin

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.